CONVIVIAL DENTAL PC NPI 1689007908

NPI Information

NPI: 1689007908
Provider Name: CONVIVIAL DENTAL PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1244 BOYLSTON ST STE 205
CHESTNUT HILL, MA
ZIP 02467
Phone: (617) 818-0573
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CONVIVIAL DENTAL PC is a dental clinic center in Chestnut Hill, MA. CONVIVIAL DENTAL PC NPI is 1689007908. The provider is registered as an organization entity type.

The provider's business location address is:

1244 BOYLSTON ST STE 205
CHESTNUT HILL, MA
ZIP 02467-115
Phone: (617) 818-0573

The provider's authorized official is Athanasios Zavras .
The authorized official title is President and has the following contact phone number (617) 818-0573.

The enumeration date for this NPI number is 8/11/2013 and was last updated on 8/11/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	DN1855922	MASSACHUSETTS	No
2	261QD0000X	Clinic/Center	Dental	DN1855922	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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